HomeMy WebLinkAboutSubcontractor Agreement PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
R — Building & Code Compliance Division
OM
REC .IVE.D
BUILDING PERMIT
SUB-CONTRACTOR AGREEMENT FEB 14 2019
ST. Lucie County, Permitting
\ � r
1 �� 2 have agreed to be
&mpany Name/Individual Name) n the \V ry—) Sub-contractor for h qT� (� y '6-io
(Type of Trade)-, c� (Primary Contractor) (�
For the project located at � cq�O Of�Ovnv'l/ta i' �� /
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
NT OR SIGNATURE(Qualifier) All ll R SIGNATURE I(Qualifier)
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PRINT NAME PRINT NAME ./
C UNTY CERTIFICATION B�ER C UNTY CERTIFICATION BER
BER
State of Florida,County of 'WV/V State of Florida,County of
T oregoing instrument was sign efore me thisWM The fore g instrument was signed efore me this d of
�pl, -�+�. f �
200 by vV� � (� 20�by / \
who is personally known_or has produced a L who is personally known_or has produced a
as identificatio as identificatio
r
STAMP STAMP
i ature of No ary Public Signature of otary Public
Print Name of Nota Print Name of Notary Public
`�tpRY PVe� KAREN S. NIELSEN
6=,State of Florida-Notary Public
=' °= Commission # GG 207484
�\ MY Carnmissi0n Expiros
June 12, 2022 `1°�AflYPGe'
Revised 11/16/2016 State oREN S
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0rnmrssi0 d� N OtarSEN
My Commis #GG y 48 lic
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June l2: 02 7 ires4
PERMIT# ISSUE DATE
PLANNING & DEVELOPMENT SERVICES
Building & Code Compliance Division RECEIVED
BUILDING PERMIT FEB 14 2019
SUB-CONTRACTOR AGREEMENT
ST.Lucie County, Permitting
have agreed to be
Compar�''�Name/IndiYidual Name)
the , '�;�'>'1`CCQJI Sub-contractor for ,
(Type of Trade) 29� Mom,1 I (Primary
Contractor) �-
For the project located at J 11 0 ouun' In l old l Iqa (2
(Project Street Address or Property Tax ID#)
It is understood that, if there is any change of status regarding our participation with the above mentioned
project,the Building and Code Regulation Division of St. Lucie County will be advised pursuant to the
filing of a Change of Sub-contractor notice.
NTRACTOR SIGNATURE(Qualifier) MOINTIRACTOR SIGNATURE(Qualifier)
PRINT NAME PREXT NAME
J�
COUNTY CERTIFICATION MBER COUNTY CERTIFICATION"BER
State of Florida,County of r State of Florida,County of l:{llc_ ,f�
The for oing instrument was signed b ore me this'-4 day of The for going instrument was signe before me this / day of
20 by V ,20� ,by
who is personally known_or has produced a who is personally known or has produced a
as identification. as identification:
� STAMP STAMP
ig ature of o ry Public Signature of Nota Public
Print Name of Notary Public Print Name of Notary Public
KAREN S, NIELSEN _`
=OqD"YP6��;- State of Florida-Notary Public
�`� YpU/�� KAREN S. NIELSEN
Commission # GG 207484 ;=off °a�-,State of Florida-notary Publi,
;: My Commission Expires Commission # GG 207484
; \°� June '12, 2022 %;, �,oc My Commission Expires j
%/FOF"0
Revised 11/16/201 "ni.... June 12, 2022